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Kidney Endoscopy With Tissue Sample

Tennessee rates for HCPCS 50574

Examination of the inside of the kidney with a small scope passed through an opening made into the kidney during the same operation, together with removal of a small piece of tissue for laboratory examination. Rinsing and dye studies of the drainage system may be done at the same time.

Facilitymedian $2,239 · 10th–90th $575$5,4950%10%10th90th$2,239Professionalmedian $692 · 10th–90th $525$1,3800%10%20%10th90th$692$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$575.44
Median
$2,290.87
Typical High
$4,073.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$645.65
Typical High
$1,071.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$4,073.80
Typical High
$5,888.44
BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$831.76
Typical High
$1,318.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$776.25
Typical High
$1,148.15
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$9,772.37
Typical High
$9,772.37
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,570.88
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,412.54
Typical High
$2,884.03
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$794.33
Typical High
$1,230.27